Chii chinonzi tsika weti nemushonga unodzivirira mushonga, unoitwa sei uye ndewei

Zvemukati

• Ndechipi chiri chinangwa chetsika weti nemushonga wekurwisa mabhakitiriya
• Maitiro ekunzwisisa mhedzisiro
• Uroculture ine antibiogram ye Escherichia coli
• Zvinoitwa sei

Uroculture ine antibiogram bvunzo ye murabhoritari yakakumbirwa nachiremba iyo ine chinangwa chekuona hutachiona hunokonzera hutachiona hwehutachiona uye chii chimiro chayo chekunzwa nekupokana nemishonga inorwisa mabhakitiriya inowanzo shandiswa kurapa hutachiona. Nekudaro, kubva pamhedzisiro yebvunzo, chiremba anogona kuratidza yakanyanya antimicrobial kumunhu.

Iko kushanda kweiyi bvunzo kunowanzo kuratidzirwa kana munhu achiratidza zviratidzo nezviratidzo zvehutachiona hwehutachiona, zvisinei zvinogona zvakare kukumbirwa kana mushure mekuongororwa kworudzi I weti, iyo EAS, mabhakitiriya uye akawanda ma leukocyte mumurini akaonekwa, izvi nekuti shanduko idzi zvinoratidzira hutachiona hutachiona, zvakakosha kuziva hutachiona hutachiona.

Ndechipi chiri chinangwa chetsika weti nemushonga wekurwisa mabhakitiriya

Iyo weti tsika bvunzo neantibhakitiriya inoshanda kuona iyo microorganism inoitisa shanduko yekuvhenekera uye ndeipi antimicrobial inogona kushandiswa zvakanyanya mukurwa kwayo.

Muedzo uyu unonyanya kuratidzirwa kana paine hutachiona hweweti, uye unogona kurairwa mushure memhedzisiro yerudzi rwekutanga weti bvunzo, iyo EAS, kana kana munhu aine zviratidzo nezviratidzo zvehutachiona hwehutachiona, sekurwadziwa uye kupisa paunenge uchiita weti uye kazhinji chishuwo. kuva naPee. Ziva maitiro ekuziva zviratidzo zvehutachiona hwehutachiona hutachiona.

Uyu muedzo unoshanda kuzivisa huvepo uye chimiro chekunzwa kune maantimicrobial emamwe tupukanana, iwo makuru ari:

• Escherichia coli;
• Klebsiella pneumoniae;
• Candida sp.;
• Proteus mirabilis;
• Pseudomonas spp.;
• Staphylococcus saprophyticus;
• Streptococcus agalactiae;
• Enterococcus faecalis;
• Serratia marcenses;
• Morganella morganii;
• Acinetobacter baumannii.

Kuzivikanwa kwevamwe hutachiona hunogona kuve hune hukama nehutachiona hutachiona hutachiona, senge Chlamydia trachomatis, Neisseria gonorrhoeae, Mycoplasma spp. uye Gardnerella vaginalissemuenzaniso, nguva zhinji hazviitwe kuburikidza netsika yemurini, mune izvi zvinowanzo kumbirwa kuti zviunganidze kusangana nekutsi kwemukadzi kana kwepenile kuitira kuti iyo microorganism ikwanise kuzivikanwa uye antibiotic, kana kuongorora weti kuburikidza nenzira dzemamorekuru.

Maitiro ekunzwisisa mhedzisiro

Mhedzisiro yetsika yeti weti nemushonga unodzivirirwa unopihwa muchimiro chemushumo, umo unoratidzwa kuti bvunzo haina kunaka here kana kuti yakanaka uye, mune idzi kesi, idzo microorganism yakaonekwa, huwandu hwayo mumuti uye maantibayoti ayo yakanga iri nyore uye inopikisa.

Mhedzisiro yacho inoonekwa seisina kunaka kana paine kungokura muhuwandu hwakaenzana hwezvipuka izvo zviri zvakasarudzika chikamu cheiyo weti system. Kune rimwe divi, mhedzisiro yacho yakanaka kana paine kuwedzera kwehuwandu hwechero ipi yehutachiona iyo iri chikamu cheyakajairwa microbiota kana kana kuvepo kwechinhu chisina kujairika microorganism kuchisimbiswa.

Nezve iyo antibiotiki, pamusoro pekuzivisa kana hutachiona husinga nyararire kana husinga gadzikane nemishonga inorwisa mabhakitiriya, inoratidzawo Minimum Inhibitory Concentration, inonziwo CMI kana MIC, inoenderana nehuremu hwemushonga unorwisa mabhakitiriya unokwanisa kudzivisa kukura kwehutachiona, kuva ichi chakakosha ruzivo rwechiremba kuratidza iwo akakodzera kurapwa.

[bvunzo-ongororo-inosimbisa]

Uroculture ine antibiogram ye Escherichia coli

THE Escherichia coli, inozivikanwawo se E. coli, ndiyo bhakitiriya inowanzo kuve yakabatana nehutachiona hutachiona. Kana weti tsika yakanakira bhakitiriya, huwandu hunoratidzwa mumugini, uyo unowanzo kuve pamusoro pezana remazana emakoloni, unoratidzwa mushumo, uye kune maantibayoti ari nyore, achiwanzove Phosphomycin, Nitrofurantoin, Amoxicillin neClavulonate, Norfloxacino kana Ciprofloxacino.

Uye zvakare, iyo MIC inoratidzwa, iyo mune iyo kesi ye Escherichia colisemuenzaniso, zvakatemwa kuti iyo MIC yeAmpicillin isingasviki kana yakaenzana ne8 µg / mL inoratidza kugona kubata mishonga inorwisa mabhakitiriya, uye mashandisirwo ayo ekurapa anokurudzirwa, nepo huwandu hwakaenzana kana kupfuura 32 µg / mL zvinoratidza kuti mabhakitiriya anoramba.

Nekudaro, zvinoenderana nemhedzisiro yakawanikwa nehunhu tsika uye nemushonga, chiremba anogona kuratidza kurapwa kwakanyanya kwehutachiona.

Zvinoitwa sei

Iyo weti tsika bvunzo bvunzo yakapusa inoitwa kubva kune weti sampuro, iyo inofanirwa kuunganidzwa nekuchengetwa mumudziyo wakakodzera unopihwa murabhoritari. Kuti uite iko kuunganidzwa, zvinofanirwa kutanga zvachenesa nzvimbo yepedyo nesipo nemvura uye nekuunganidza weti yekutanga yezuva, uye munhu wacho anofanira kufuratira rwizi rwekutanga weti uye aunganidze rwizi rwepakati.

Izvo zvakakosha kuti sampuro iendeswe murabhoritari mukati memaawa maviri kuitira kuti igone kuitirwa tsika weti uye mushonga. Murabhoritari, muyenzaniso unoiswa muchimiro chetsika chinofarira kukura kwetunhu tusingawanzo kuwanikwa mumurini. Mushure me24h kusvika 48h, zvinokwanisika kuongorora kukura kwehutachiona uye, nekudaro, zvinokwanisika kuita bvunzo dzehutachiona.

Uye zvakare, kubva panguva iyo kukura kwehutachiona mune tsika tsika kunoonekwa, zvinokwanisika kutarisa huwandu hwehutachiona, uye hunogona kuratidzwa kuti ikoloni kana hutachiona, mukuwedzera kune zvakare kugona kuita antibiotic , mune iyo microorganism inoedzwa maantibayoti akasiyana, ichiongororwa kuti ndeapi maantibayoti ari shungu kana asingagadzirike. Nzwisisa zvakawanda nezve iyo antibiotic.